Technical Field
[0001] The disclosed invention relates to the observation that nestin expression is a marker
for endothelial cell proliferation. Nestin expression is particularly useful as a
marker for angiogenesis.
Background Art
[0002] Nestin is one of the intermediate filaments, together with vimentin and glial fibrillary
acidic protein (GFAP), and is detected abundantly in neuroepithelial stem/progenitor
cells in the growing central nervous system of embryonal rats and humans (
Lendahl, U., et al., Cell (1990) 60:585-595;
Messam, C.A., et al., Exp. Neurol. (2000) 161:585-596;
Tohyama, T., et al., Lab. Invest. (1992) 66:303-313;
Tohyama, T, et al., Am. J. Pathol. (1993) 143:258-268)). Nestin forms intermediate filament bundles, perhaps with vimentin, by copolymerization
in neuroepithelial cells (
Eliasson, C., et al., J. Biol. Chem. (1999) 274:23996-24006;
Rutka, J.T., et al., Int. J. Dev. Neurosci. (1999) 17:503-515).
[0003] Nestin mRNA is expressed highly in the cerebrum of developing rat embryos at embryonic
day 15 (E15), declines toward postnatal day 12 (P12), and disappears from P18 to the
adult stage (Lendahl, U.,
et al.,
supra). Using nestin transgene-promoted β-galactosidase expression analysis in mice, LacZ
activity has been detected in the neuroepithelium and somites shortly after neural
tube closure (E9) (
Zimmerman, L., et al., Neuron (1994) 12:11-24). The LacZ staining becomes stronger in the proliferative ventricular zones of the
mouse embryonic striatum and cerebral cortex at E14.5 and E16.5 and decreases in expression
in the adult cortex, becoming restricted to a population of ependymal cells.
[0004] Substantial nestin expression has also been detected in human gliomas and glioblastomas
(
Dahlstrand, J., et al., Cancer Res (1992) 52:5334-5341). Nestin immunostaining has frequently been observed in highly malignant gliomas,
especially glioblastomas, as compared with the less malignant forms such as pilocytic
astrocytomas. In contrast, nestin is rarely detected by immunostaining in non-neoplastic
brain tissues, occurring sometimes faintly in vascular endothelial cells.
[0005] Nestin mRNA is approximately 6.2 kilobases long, and its gene contains three introns.
Interestingly, neuroepithelium-specific nestin expression is driven by the second
intron of the nestin gene, whereas muscle precursor-specific expression is driven
by the first intron (
Lothian, C., et al., Eur. J. Neurosci. (1997) 9:452-462; Zimmerman, L,
et al., supra).
[0006] Nestin expression was previously examined in seven human glioma/glioblastoma-derived
culture cell lines (
Kurihara, H., et al., Gene Ther. (2000) 7:686-693). The level of expression varied from high (U251, KG-1C) to non-detectable (NP-2,
LN-Z308, T98G) according to Northern blot analysis. The expression levels did not
parallel the growth rates of the cell lines, although the degree of malignancy generally
reflects tumor doubling time
in vivo. The neuronal cell-specific regulator, consisting of the second intron before the
5' upstream region of the gene, drove LacZ expression in parallel with the extent
of mRNA expression in each cell line (Kurihara, H.,
et al., supra). This variability in nestin expression levels in the glioma/glioblastoma cell lines
caused the reevaluation of nestin expression in human glioma/glioblastomas from low
to high malignancy grades.
[0007] Although a number of angiogenesis-related genes are reported in colorectal cancer
endothelium, the nestin gene is not included in the list (
Croix, B.S., et al., Science (2000) 289:1197-1202). Angiogenesis-related genes in brain tumor endothelium may be different from those
in colorectal endothelium. It is noteworthy that strong nestin expression is found
in brain tumor endothelium even if no nestin expression is found in the brain tumor
cells.
Summary of the Invention
[0009] The disclosed invention relates to a method of monitoring blood vessel development,
comprising providing an angiogenic hair follicle stem cell, wherein the stem cell
comprises an expression cassette encoding a fluorescent protein (FP) under genetic
control of a nestin regulatory element; culturing the stem cell in a host; and monitoring
angiogenic activity of the stem cell that leads to blood vessel development.
[0010] The angiogenic hair follicle stem cell is a nest in expressing cell. The cells can
be grown
in vitro or
in vivo.
[0011] The invention utilizes one or more fluorescent proteins under control of a nestin
regulatory element. Examples of these proteins include green fluorescent protein (GFP),
red fluorescent protein (RFP), blue fluorescent protein (BFP) and yellow fluorescent
protein (YFP). Preferably, the nestin regulatory element is encoded by the second
intron of the human nestin gene.
[0012] The disclosed invention involves the use of a host organism. The host organism is
preferably a vertebrate organism. Particularly preferred host organisms are mammalian
or avian hosts. Examples of preferred mammalian hosts include mice, rats, rabbits,
dogs and cats. Examples of preferred avian hosts include chickens and chicken eggs.
[0013] In one embodiment of the disclosed invention, an angiogenic hair follicle stem cell
comprises a first FP protein under nestin regulatory control and the host organism
comprises a second FP protein under nestin regulatory control, wherein the first FP
protein is different from the second FP protein.
Brief Description of the Drawings
[0014]
Figure 1A-E shows views from the dermis side of the doral skin in the ND-GFP transgenic
mice. Scale bars in the figures represent a distance of 100 µm.
Figure 2A-G shows images ofND-GFP vibrissa follicles transplanted into the subcutis
of a nude mouse (scale bars, 100 µm).
Figure 3A-C show images of transplanted ND-GFP vibrissa follicles under the kidney
capsule of a nude mouse (scale bars, 100 µm).
Modes of Carrying Out the Invention
[0015] The disclosed invention provides model systems for the study of angiogenesis. In
the disclosed invention, angiogenic hair follicle stem cells are labeled with an expression
system encoding a fluorescent protein, the expression of which is governed by regulatory
sequences from a gene that is disclosed as being preferentially expressed in angiogenic
hair follicle stem cells. The expression system provides a visual marker with which
to observe the angiogenic process. Nestin-expressing cells are disclosed here as a
source of angiogenic hair follicle stem cells and nestin regulatory elements are used
to control expression of the marker protein. Accordingly, the disclosed model systems
use angiogenic hair follicle stem cells encoding one or more fluorescent proteins
under the control of nestin regulatory sequences to model angiogenesis.
Angiogenic hair follicle Stem Cells
[0016] The disclosed model system uses labeled progenitor or stem cells as a marker for
angiogenesis. Nestin expression is an excellent marker for stem cells, such as central
nervous system (CNS) stem cells, neuroepithelial stem cells and hair follicle sheath
progenitor cells.
[0017] Nestin is an intermediate filament that is a marker for central nervous system progenitor
cells. In particular, transgenic mice with green fluorescent protein (GFP) under the
control of the nestin regulatory sequences have been generated and used for visualization
of the self-renewal and multipotency of CNS stem cells.
[0018] The location of hair follicle stem cells varies depending on the hair-cycle. In early
anagen in nestin-FP transgenic mice, nestin-expressing cells are located in the permanent
upper hair follicle right below the sebaceous glands in the follicle bulge where the
hair follicle stem cells are located. The nestin-expressing cells in the bulge area
are relatively small, oval shaped and surround the hair shaft with short dendrites
connecting them to each other. Figure 3 shows that the location of the nestin-expressing
cells in the hair follicle are hair-cycle dependent. During telogen and early anagen,
the fluorescent protein -positive cells,
i.
e., nestin-expressing cells, are mainly in the bulge area. Fluorescent protein-expressing
hair follicle stem cells are seen in both telogen and early anagen. As the hair follicle
stem cells from telogen appear to be the most primitive and are localized, they are
preferred for harvesting, although the cells may be harvested from any stage of the
hair-cycle. Techniques for harvesting are discussed in the
U.S. Patent Application No. 10/251,657, entitled "Nestin-expressing hair follicle stem cells,"
[0019] In mid and late anagen, the FP-expressing cells are located in the upper outer root
sheath as well as in the bulge area but not in the hair matrix bulb. These observations
suggest that the nestin-expressing cells form the outer-root sheath consistent with
behavior observed for hair follicle stem cells. Results of the immunohistochemical
staining showed revealed that nestin, FP, keratin 5/8 and keratin 15 co-localized
in the hair follicle bulge cells, outer root sheath cells and basal cells of the sebaceous
glands. These data further demonstrated that nestin-FP expressing cells in the hair
follicle bulge are hair follicle stem cells. Nestin-driven GFP was also found to be
highly expressed in an interfollicular neural-like network. The common expression
of nestin in neural stem cells, in hair follicle stem cells, and in an inter-hair-follicle
neural-like network suggests their common origin.
[0020] In use, labeled cells are introduced into a host organism, where the cells grow and
differentiate to form nascent blood vessels. The nascent vessels typically anastomose
with existing vessels in the host organism. Labeled cells are implanted in any suitable
host and allowed to progress and develop using standard methods of implantation such
as grafting, transcutaneous injection and implantation.
[0021] The implantation can be performed in any manner known in the art. In one embodiment,
the hair follicle stem cells or differentiated cells derived therefrom are systemically
injected into the subject. In another aspect, the hair follicle stem cells or differentiated
cells derived therefrom are injected directly into an organ or tissue of the subject.
Preferably the organ or tissue is the retinal, brain, liver or an organ or muscle
associated with the cardiovascular system, such as the heart or lung. In addition,
cells or tissues adhered or grown on synthetic supports which are then implanted are
also contemplated. The hair follicle stem cells or differentiated cells derived therefrom
can be transplanted heterologously in a different subject than the subject from which
the cells were derived. However, due to the accessibility of the hair follicle stem
cells, in one preferred embodiment the cells can be obtained from the subject to be
treated and if desired, grown to provide differentiated cells, and then either the
stem cells or differentiated cells may be transplanted autologously. The use of hair
follicle stem cell banks is also contemplated as the stem cells of the invention are
sufficiently primitive and thus the host will not likely reject the cells when transplanted.
[0022] Techniques for implantation of the labeled cells into vertebrates include direct
implantation by surgical orthotopic implantation (SOI) at the desired site. Implantation
in the kidney capsule is a preferred site of implantation. Suitable sites include
lung, liver, pancreas, stomach, breast, ovary, prostate, bone marrow, brain, and other
tissues susceptible to malignancy. Once the labeled cells have been implanted, the
vertebrate becomes a model system for studying angiogenesis. The labeled cells are
then allowed to progress and develop and the vertebrate is monitored for appearance
of the FP labeled cells at sites distal from the original implantation site. The monitoring
can occur either on the whole vertebrate by direct observation, such as with a fluorescent
microscope, or the tissues may be excised and examined microscopically.
[0023] Suitable vertebrate subjects for use as models are preferably mammalian subjects,
most preferably convenient laboratory animals such as rabbits, rats, mice, dogs, cats
and the like. For closer analogy to human subjects, primates could also be used. Particularly
useful are subjects that are particularly susceptible to tumor development, such as
subjects with impaired immune systems, typically nude mice or SCID mice. Any appropriate
vertebrate subject can be used, the choice being dictated mainly by convenience and
similarity to the system of ultimate interest.
In vitro systems such as tissue culture can also be used as a suitable host. Suitable systems
for such study include solid supported cultures such as those maintained on collagen
gels and the like.
[0024] Labeled cells can be prepared
in vitro using standard direct gene transfer methods or
in vivo by harvesting labeled cells from a transgenic host. Direct gene transfer methods
include the use of liposomes, calcium phosphate precipitation, electroporation and
gene gun. Lipofection is preferred. Fluorescent protein labeled hair follicle stem
cells are preferably harvested from a transgenic animal source. Regulatory elements
of nestin expression are used to differentially drive expression of a fluorescent
protein coding sequence in angiogenic hair follicle stem cells, thus making the labeled
stems cells markers for angiogenesis.
Fluorescent Proteins
[0025] The model involves producing one or more fluorescent protein-labeled cells. The fluorescent
protein-labeled cells are produced by introducing an expression system into a host
cell, where the expression system comprises a fluorescent protein under the control
of one or more nestin regulatory sequences. In a preferred embodiment, a vertebrate
host organism, preferably a mammalian or avian host, is modified to contain one or
more of the fluorescent protein-labeled cells. These cells are cultured or allowed
to grow within the host organism.
[0026] A variety of fluorescent proteins have been used as labels for a number of years.
The originally isolated protein emitted green wavelengths and came to be called green
fluorescent protein (GFP). Because of this, green fluorescent protein became a generic
label for such fluorescent proteins in general, although proteins of various colors
including red fluorescent protein (RFP), blue fluorescent protein (BFP) and yellow
fluorescent protein (YFP) among others have been prepared. The nature of these proteins
is discussed in, for example,
U.S. patents 6,232,523;
6,235,967;
6,235,968; and
6,251,384. These patents describe the use of fluorescent proteins of various colors to monitor
cell growth and tumor metastasis in transgenic rodents. In addition, these fluorescent
proteins have been used to monitor expression mediated by promoters in
U.S. Application No. 09/812,710; to monitor infection by bacteria in
U.S. Application No. 10/192,740 and to monitor cell sorting in
U.S. Provisional Application No. 60/425,776. The use of fluorescent proteins of different colors to label the nucleus and cytoplasm
of cells is disclosed in
U.S. Provisional Application Nos. 60/404,005 and
60/427,604 and mice which are labeled in all tissues, and thus have a consistent fluorescent
of the same color are described in
U.S. Provisional Application No. 60/445,583.
Nestin
[0027] Nestin is an intermediate filament gene that is a marker for progenitor or stem cells.
(
Homo sapiens nestin (NES), mRNA (NM_906617).) Nestin expression distinguishes the stem cells from
the more differentiated cells. Neuroepithelial stem cells express nestin and down-regulate
it sharply when they differentiate from proliferating stem cell to postmitotic neuron.
(
Lendahl, et al., (1990) Cell 60:585-595.) Nestin is also expressed in muscle precursors but not in mature muscle cells. Independent
cell type-specific elements in the first and second introns of the nestin gene consistently
directed reporter gene expression to developing muscle and neural precursors, respectively
in transgenic animals. The second nestin intron contains an enhancer that functions
in CNS stem cells. (
Zimmerman, et al., (1994) Neuron 12: 11-24; (
Homo sapiens nestin gene, intron 2 (AF004335).) The identification of these elements facilitates
analysis of mechanisms controlling the switch in gene expression that occurs when
certain progenitor or stems terminally differentiate.
[0028] The following examples are intended to illustrate and do not in anyway limit the
scope of the disclosed invention.
Example 1
Proliferating Epithelial Cells Express Nestin
[0029] Proliferating epithelial cells express nestin as illustrated by high levels of nestin
expressed in bovine aortic endothelial cells in static culture. Bovine aortic endothelial
cells (BAECs) were used in the example discussed below to examine endothelial nestin
expression.
[0030] Endothelial cells proliferate by cell division in static culture, whereas proliferation
decreases under physiologic laminar flow (approximately 15 dyn/cm
2) (
Malek, A.M., et al., JAMA (1999) 282:2035-2042). Nestin was expressed strongly in BAECs in a static culture by both Northern blot
analysis and immunostaining. To examine whether the nestin expression was proliferation
dependent, BAECs were subjected to a shear stress flow of 15 dyn/cm
2 for 12 hours.
[0031] Bovine aortic endothelial cells (BAECs) scraped off the inner surface of the bovine
thoracic aortas using a razor blade were used in the following experiment. The BAECs
were then cultured in 6-well plates in RPMI 1640 with 20% fetal bovine serum. When
BAECs formed a colony of 3 to 6 mm in diameter, the cells were moved to new 6-well
plates, where fetal bovine serum was decreased to 10%. Culture cell lines growing
in a cobble stone-like sheet formation were selected by 7 to 12 passages and stored
in liquid nitrogen until use.
[0032] BAECs were cultured on 0.5-mm-thick quartz cover glass. The cover glass was inverted
and placed on a parallel plate-type flow chamber (inner space size: 16 mm wide x 35
mm long x 200 µm deep), as described previously (
Negishi, Y., et al., Arterioscler. Thromb. Vasc. Biol. (2001) 21:785-790). The apparatus was placed in a CO
2 incubator at 37°C. The shear stress forces were calculated based on an equation described
previously (Negishi, Y.,
et al.,
supra). The flow rate was adjusted to 15 dyn/cm
2, which is comparable to the physiologic flow rate.
[0033] The BAECs were then fixed in 4% paraformaldehyde in 0.1 M phosphate buffer, pH 7.4,
for 24 hours (tissues) or 1 hour (culture cells). BAECs were treated with 50 mM NH4CL
in PBS to quench any free aldehyde, then made permeable by 0.1% saponin and 0.4% bovine
serum albumin before the primary antibody incubation. The BAECs were first incubated
with the primary antibody to nestin at a dilution of 1:5000. For BAECs, the secondary
antibody used was indodicarbocyanide-conjugated affinity-purified donkey anti-rabbit
IgG (red colored) (Jackson ImmunoResearch, West Grove, Pennsylvania). The nucleus
was counterstained blue with 4,6-diamidino-2-phenylindole.
[0034] For Northern blot analysis, total RNA was extracted from BAECs, denatured with 6.3%
formaldehyde/50% formamide, electrophoresed on a 1.0% agarose gel containing 6.6%
formaldehyde, then blotted to a nylon membrane (Amersham Life Science, Tokyo, Japan).
Hybridization was performed with a probe of human nestin DNA fragment (560 bp), labeled
with -32P deoxy-CTP by a random priming procedure. A glyceraldehyde-3-phosphate dehydrogenase
probe was used as a control.
[0035] For Western blotting, U251 human glioblastoma cells were solubilized for cell lysates
in lysis buffer (70 mM Tris-HCl, pH 6.8, 11.2% glycerol, 3% SDS, 0.01% bromophenol
blue, 5% 2-mercaptoethanol). The cell lysates were then subjected to electrophoresis
on a 7.5% polyacrylamide gel under a reducing condition, then blotted onto a nitrocellulose
membrane for probing with rabbit anti-human nestin antiserum at a dilution of 1:7500.
Nestin blots were detected utilizing an ECL detection system (Amersham, Buckinghamshire,
United Kingdom).
[0036] Expression of nestin mRNA diminished significantly with shear stress flow by Northern
blot analysis. Furthermore, a flow-dependent decrease of nestin expression was confirmed
by immunostaining.
Example 2
Nestin Immunostaining for Brain Tumors
[0037] Polyclonal antibodies to nestin were raised in rabbits by injecting the synthetic
oligopeptide covering the C-terminal 17 amino acids of the human nestin sequence.
This antibody reacted with proteins of 210 to 240 kD from U251 cell extracts by Western
blotting, as reported previously (Messam, C.A.,
et al., supra; Tohyama, T.,
et al., supra (1992)). The immunoblot resembled doublets, perhaps because of the difference in
carbohydrate modification, as reported previously (Messam, C.A.,
et al.,
supra). The immunoblot disappeared when the synthetic oligopeptide was added to the U251
cell lysate, indicating that the immunoblot represents the nestin protein.
[0038] The cross-reactivity of this antibody was further tested with other intermediate
filaments including vimentin, GFAP, keratins, and desmin. The antibody to human vimentin
showed a single band at a little beyond the 50-kD marker position with both U251 and
HeLa cell extracts. The antibody to GFAP displayed an approximately 50-kD band with
U251 cell extract, but not with HeLa cell extract. Pooled mouse monoclonal antibodies,
anti-cytokeratin AE1/AE3, which recognize a broad subfamily of acidic and basic keratins
were used for detecting keratins. The anti-cytokeratin AE1/AE3 recognized an approximately
50-kD protein from HeLa cell extract, but faintly from U251 cell extract. The antibody
to human desmin did not display bands with either U251 or HeLa cell extract. Nonimmune
rabbit serum did not show any artifactual bands with either U251 or HeLa cell extract.
Thus, the antibody to nestin displayed large-sized bands corresponding to nestin molecular-sized
proteins reported previously (Messam, C.A.,
et al.,
supra; Tohyama, T.,
et al., supra (1992)) but did not cross-react with other intermediate filaments.
[0039] Seventy-one (71) brain tumor samples were then immunostained with this antibody.
The 71 human brain tumor samples including 57 gliomas and 14 other brain tumors. The
gliomas included 6 World Health Organization (WHO) grade I tumors, 11 grade II tumors,
18 grade III tumors, and 22 grade IV tumors. Other brain tumors included four hemangioblastomas,
two medulloblastomas, one atypical teratoid/rhabdoid tumor, three meningiomas, two
atypical meningiomas, and two Schwannomas. All 71 brain tumors were resected at the
Department of Neurosurgery, Gunma University School of Medicine. The diagnoses were
established by routine pathologic examinations according to the revised WHO classification
at the Department of Pathology, Gunma University School of Medicine.
[0040] The human brain and tumor tissues were fixed in 4% paraformaldehyde in 0.1 M phosphate
buffer, pH 7.4, for 24 hours (tissues) or 1 hour (culture cells). Small pieces of
the tissue sample were embedded in optimal cutting temperature compound for microtome
sectioning. The tissue sections were first incubated with the primary antibody to
nestin at a dilution of 1:5000. For brain and tumor tissues, an LSAB2/HRP staining
kit (DAKO) was used as the secondary antibody reaction system. The procedure consists
of a secondary antibody reaction followed by an enzyme reaction with a horseradish
peroxidase-labeled streptavidin system. In the enzyme reaction, the peroxidase catalyzes
3-amino-9-ethylcarbazole to an insoluble brown-colored product.
[0041] Normal brain cortex tissues were not immunostained with this antibody, although a
few vascular endothelial cells showed occasional faint staining, as described previously
(Dahlstrand, J.,
et al.,
supra). In the glioblastomas (WHO grade IV), the typical nestin staining was fibrillar
distribution along the processes of the tumor cells. The staining intensity was classified
as 4+ in this tumor. Nestin staining was also evident as a button-like cluster in
the cytoplasm of round-shaped tumor cells, (anaplastic oligoastrocytoma, staining
intensity is 3+). In some grade III and grade IV gliomas, the staining was limited
to proliferative endothelium, (glioblastoma, grade IV) (anaplastic oligodendroglioma,
grade III). In the low-grade gliomas, the staining was weak to negligible in a considerable
number of tumors, but distinct staining was noted along the endothelium in the tumor,
(oligodendroglioma, grade II). This tendency was more marked in other types of brain
tumors (Schwannoma and meningioma), whose epithelium immunostained strongly positive
for nestin while the tumor cells did not stain at all. Thus, the tumor endothelial
cells expressed nestin without regard to the WHO grade for malignancy.
Example 3
Nestin Expression in Hemangioblastomas
[0042] Because nestin was expressed in proliferating endothelial cells, it was suspected
that it is expressed even in hemangioblastomas because hemangioblasts are thought
to be a precursor for both hematopoietic cells and angioblasts (
Eichmann, A., et al., Proc. Natl. Acad. Sci. USA (1997) 94:5141-5146). To examine this issue, four human hemangioblastomas were tested. An endothelial
cell marker, von Willebrand factor, positively immunostained along endothelium and
microcapillary vessels in the
hemangioblastoma (Böhling, T., et al., IARC Press (2000), Lyon, France, 223-226).
[0043] Nestin also immunostained mostly in microcapillary vessels in the hemangioblastoma.
However, typical endothelium consisting of thin cytoplasm with a convex-shaped nucleus
was not positive for nestin staining. Because the appearance of endothelium is similar
to normal vessels, this type of endothelium may have been well-differentiated and
lost nestin expression. Nestin-positive cells consisting of hemangioblastomas may
reflect genuine transformed hemangioblasts. Thus, nestin is a marker protein not only
for neuroepithelial stem cells and glioma cells but also for hemangioblasts and proliferating
endothelial cells.
Example 4
Pluripotent cells expressing nestin
Intermediate Filament Protein, Nestin, Marks Progenitor Cells
[0044] Progenitor CNS stem cells are selectively labeled by placing GFP under the control
of the nestin regulatory sequences. It was previously demonstrated that during early
anagen or growth phase of the hair follicle, nestin-expressing cells, marked by GFP
fluorescent in nestin-GFP transgenic mice, appear in the permanent upper hair follicle
immediately below the sebaceous glands in the follicle bulge. This is where stem cells
for the hair follicle outer-root sheath are thought to be located. The relatively
small, oval-shaped, nestin-expressing cells in the bulge area surround the hair shaft
and are interconnected by short dendrites. The precise locations of the nestin-expressing
cells in the hair follicle vary with the hair cycle.
[0045] The following observations show that the nestin-expressing cells work for the regeneration
of the skin. These data indicate that nestin-expressing cells, marked by GFP, in the
hair follicle bulge are indeed progenitors of not only the follicle outer-root sheath
but also epidermis.
[0046] Several different models of skin wound are currently used and each simulates different
aspects of the clinical condition and to varying degrees of accuracy. Nestin-GFP expression
of skin wound at 1, 3, 5, 7 and 9 days was determined after punch biopsy injury. Nestin
expressing cells were more widespread in the dermis and basal layers in the epidermis
at 5 days. Increases in nestin GFP expressing cells were detected by 3 day, reaching
maximal immunointensity at 5-9 days after injury.
[0047] Recently,
Taylor, G., et al., Cell (2000) 102:451-461 reported that hair follicle bulge stem cells are potentially bipotent because they
can give rise to not only cells of the hair follicle but also to epidermal cells.
Other experiments also have provided new evidence that the upper outer-root sheath
of vibrissal (whisker) follicles of adult mice contains multipotent stem cells, which
can differentiate into hair follicle matrix cells, sebaceous gland basal cells, and
epidermis. Recently, it was reported that multipotent adult stem cells isolated from
mammalian skin dermis, termed skin-derived precursors, can proliferate and differentiate
in culture to produce neurons, glia, smooth muscle cells, and adipocytes. However,
the exact location of these stem cells in skin is unknown, and their functions are
still unclear.
[0048] The expression of nestin, a marker for neural progenitor cells, in the cells of the
follicle bulge, is disclosed herein. Nestin was linked to a fluorescent protein (GFP),
which permitted observations of showing that the nestin-containing cells formed the
major part of the hair follicle each cycle. This expression of the neural stem cell
protein nestin in hair follicle stem cells suggests a possible relation.
[0049] Multipotent, nestin-positive, fibronectin-positive stem cells (SKPs) can be generated
from juvenile and adult skin, that these precursors derive from the dermis, and that
they are distinct from mesenchymal stem cells. Individual clones of SKPs can differentiate
into cells of both neuroectodermal and mesodermal lineage, including (but perhaps
not limited to) neurons, glia, smooth muscle cells and adipocytes. Studies have shown
that SKPs can be passaged for at least 1 year without losing the capacity to generate
these diverse cell types. Finally, the human studies indicate that similar precursors
may be present within adult human skin. Thus, SKPs apparently represent a novel multipotent
adult stem cell that is perhaps less 'biased' than other adult stem cells. The ability
to isolate and expand such a stem cell from an accessible, potentially autologous
tissue source such as mammalian skin has important therapeutic implications.
Example 5
Nestin-FP Transgenic Mice
[0050] Nestin is an intermediate filament (IF) gene that is a marker for CNS progenitor
cells and neuroepithelial stem cells. Enhanced GFP (EGFP) transgenic mice carrying
EGFP under the control of the nestin second-intron enhancer are used for studying
and visualizing the self-renewal and multipotency of CNS stem cells. The work discussed
below indicates that hair follicle stem cells strongly express nestin as evidenced
by nestin-regulated EGFP expression.
Induction of Anagen
[0051] Nestin-regulated GFP transgenic mice, 6-8 weeks old, in the telogen phase of hair
growth were depilated by a hot mixture of rosin and beeswax. Samples (5 x 5 mm
2) were excised from the dorsal skin right before depilation (telogen) and at days
1-5 (early anagen), days 8 and 10 (middle anagen), days 14 and 15 (late anagen), and
days 19 and 20 (catagen) after depilation. The skin samples were divided into two
parts, one for fluorescence microscopy and the other for frozen sections. Briefly,
the skin samples were embedded in tissue-freezing embedding medium and frozen at -80°C
overnight. Sections 8 µm thick were cut with a Leica CM1850 cryostat. The frozen sections
were air-dried and counter-stained with propidium iodide for fluorescence microscopy.
Fluorescence and Confocal Microscopy
[0052] The nestin-GFP skin samples, after dissecting out the s.c. tissue, were directly
observed with dermis up and epidermis down under a Nikon fluorescent microscope equipped
with GFP optics. An MRC-600 confocal imaging system (Bio-Rad) mounted on a Nikon Optiphot
with an x10 PlanApo objective was used also.
Immunohistochemical Staining
[0053] Colocalization of nestin, keratins 5, 8, and 15, and GFP in the paraffin-embedded
C57B16 mouse and nestin-GFP transgenic mouse skin sections was detected with the DAKO
ARK animal research kit (nestin and keratins) and DAKO EnVision doublestain system
following manufacturer instructions. Briefly, the activity of endogenous peroxidase
in the skin samples was quenched with incubation in a peroxidase-blocking solution
for 5 min. The slide then was incubated with the prepared biotinylated primary antibody
(GFP mAb, 1:100; nestin mAb, 1: 80; keratin 5/8 mAb, 1:250; and keratin 15 mAb, 1:100)
for 15 min followed by incubation with streptavidin peroxidase for 15 min. The staining
was completed by incubation with substrate-chromogen 3,3'-diaminobenzidine (DAB) or
nuclear fast red for 5 min. Brown (DAB) or cherry-red (nuclear fast red) staining
was used for antigen staining. Nestin mAb (rat 401) was purchased from the University
of Iowa (Iowa City). Keratin 5/8 mAb (MAB3228) and keratin 15 mAb (CBL 272) were purchased
from Chemicon.
[0054] The cells with nestin-controlled GFP expression are located in the permanent upper
region of telogen hair follicles immediately below the sebaceous glands and in the
bulge area. These cells are relatively small, oval- or round-shaped, and interconnected
by dendrite-like structures.
[0055] The location and number of the nestin-expressing cells is hair-cycle-dependent. The
progression and proliferation of the GFP-marked, nestin-producing cells in the developing
hair follicle was followed in detail in mice (6-8 weeks old) after inducing anagen
in telogen follicles by depilation. As previously described for hair follicle stem
cells, at telogen the green fluorescent, nestin-expressing cells in the hair follicle
are located only at the upper permanent bulge region. Two to 3 days after depilation,
nestin-expressing hair follicle cells have proliferated, migrating down from the bulge.
During the middle and late anagen phases, the nestin-expressing hair follicle cells
occupy the upper two-thirds of the outer-root sheath and are absent from the lower
one-third of the follicle and the hair matrix bulb. In catagen, when hair bulb matrix
cells undergo regression and degeneration, the number of outer-root sheath nestin-GFP-expressing
cells decreases along with shrinkage of the hair follicle. Eventually, by the next
telogen these cells localize only in the bulge.
[0056] The data indicate that the nestin-expressing cells include the true progenitor or
stem cells of the hair follicle outer-root sheath. At the peak of anagen, fully two-thirds
of the length of the follicle outer-root sheath is composed of nestin-expressing GFP-fluorescent
cells. These apparently originate in the small cluster of nestin-expressing cells
in the telogen follicle and proliferate with kinetics synchronous with the hair cycle.
Most of the anagen follicle outer-root sheath must derive from these putative stem
cells, because significant recruitment of cells from surrounding tissue seems unlikely
in view of the physical, physiological, and temporal barriers. These results provide
a depiction of living stem cells forming a critical part the new hair follicle structure.
[0057] These results are strongly supported by the findings of others. Recently,
Oshima, H., et al., Cell (2001) 104:233-245 reported that the upper region of the outer-root sheath of vibrissal follicles of
adult mice contains multipotent stem cells that respond to morphogenic signals to
generate multiple hair follicles, sebaceous glands, and epidermis. These findings
agree with our observations of nestin-GFP expression in the outer-root sheath.
[0058] These nestin-GFP-expressing hair follicle progenitor or stem cells also express keratin
5/8 and keratin 15, which are potential markers of hair follicle stem cells. Results
of immunohistochemical staining show that nestin, GFP, and keratins 5/8 and 15 co-localize
in the hair follicle bulge cells, outer-root sheath cells, and basal cells of the
sebaceous glands. These data further support the role of nestin-GFP-expressing cells
in the hair follicle bulge as the progenitors of the outer-root sheath.
[0059] The recent upsurge of interest in hair follicle biology has revealed a surprising
complexity of functions and cell types in addition to the obvious role in forming
the hair shaft. Here it is reported that the observation that outer-root sheath progenitor
cells in the follicle share the nestin marker previously found in neural stem cells.
This finding hints at a possible relation between the hair follicle cells and neural
stem cells. The data also prove what has previously been suspected,
i.
e., that the bulge cells that have been shown to express nestin-GFP proliferate to
form much of the outer-root sheath during the anagen growth phase. Of course, it is
possible that the nestin-expressing cells play a much wider role and serve as stem
cells for the entire hair follicle. In this case, the remaining portions of the follicle,
e.
g., the inner root sheath and the matrix, would originate from the nestin-expressing
cells but would lose nestin expression as differentiation proceeded.
Example 6
Isolation of Hair Follicle Stem Cells
[0060] Hair follicle bulge nestin-GFP expressing stem cells were isolated and cultured
in vitro. Telogen nestin-GFP transgenic mouse skin sample was excised and minced. The minced
tissue was then digested with a mixture of trypsin (0.25 %), collagenase (0.4 %) and
dispase (1.0 %) at 37°C for 2 hours. Individual hair follicles with nestin-GFP expressing
cells in the bulge area were isolated under a dissection microscope equipped with
fluorescence optics. Then the nestin-GFP expressing cells at the bulge area of hair
follicle were further isolated with a fine syringe under the fluorescence dissection
microscope.
Example 6
Growing Stem Cells
[0061] The nestin-GFP expressing cells from the bulge area of hair follicle were transferred
to M21 media without growth factor supplements, which is the typical neural maintenance
media to grow neurospheres (
Uchida, N., et al., Proc. Natl. Acad. Sci. USA (2000) 97:14720-14725). After 12 days, neurosphere-like colonies were apparent. In another experiment,
isolated nestin-GFP expressing cells from the hair follicle bulge area were grown
at 10 cells/mm
2 in methylcellulose (1.2 %) containing neural stem cell culture media supplemented
with epidermal growth factor (EGF) (20 ng/ml), fibroblast growth factor (FGF) (20
ng/ml) and leukemia inhibitory factor (Lif) (10 ng/ml) every two days. When spheres
were apparent in the culture medium, they were transferred to a new plate without
methylcellulose. Secondary spheres were also generated from the primary spheres. Spheres
were then assayed for their differentiation potential.
Example 7
B16F10 Murine Melanoma Cells and Nestin Expression
[0062] B16F10 murine melanoma cells are shown below to mimic endothelial cell behavior and
the angiogenic process
in vitro and
in vivo. Cord formation
in vitro by tumor cells is stimulated by hypoxia and vascular endothelial growth factor (VEGF)
and inhibited by antibodies against VEGF and the VEGF KDR receptor (VEGF receptor
2).
[0063] The B16F10 murine melanoma cell line (B16F10) are grown in DMEM media 10% FCS, at
37°C with 5% CO
2. The DsRed-2 gene (CLONTECH) is inserted in the retroviral-based mammalian expression
vector pLNCX (CLONTECH) to form the pLNCX DsRed-2 vector. Production of retrovirus
is performed by transfection of pLNCX DsRed-2 into PT67 packaging cells, which produces
retroviral supernatants containing the DsRed-2 gene.
[0064] B16F10 cells are cultured in RPMI 1640 medium (GIBCO) containing 15% FCS. 24 hours
prior to infection, 70% confluent PT67/RFP cells will be changed to fresh DMEM with
7% FBS medium. The target cells are plated 18 hours before infection, at a cell density
of 1-2 x 10
5 per 60 mm plate.
[0065] Infected B16F10 cells are transplanted into a host nu/nu mouse and the tumor cells
are allowed to grow. Tumor samples are located and excised with samples of normal
tissue for fluorescent microscopy. Microscopic images indicate the presence of angiogenic
activity by the presence of FP containing blood vessels.
Example 8
Nascent blood vessels in the skin arise from nestin-expressing hair-follicle cells
[0066] Transgenic mice (ND-GFP) carrying GFP under the control of the nestin second-intron
enhancer were used for studying and visualizing the self-renewal and multipotency
of CNS stem cells. Hair-follicle stem cells strongly express nestin, as evidenced
by nestin-regulated GFP expression.
[0067] For the results discussed below, fluorescence microscopy was carried out by using
an Olympus IMT-2 inverted microscope (Melville, NY) equipped with a mercury lamp power
supply. The microscope had a GFP filter set (Chroma Technology, Rockingham, VT). An
MRC-600 confocal imaging system (Bio-Rad) mounted on a Nikon Optiphot with a Plan
Apo 10X objective was also used to directly observe skin tissue with GFP expression.
Immunohistochemical staining for CD31 and von Willebrand factor (VWF) in air-dried
skin and frozen sections were performed using the anti-rat Ig horseradish peroxidase
(HRP) detection kit (BD Biosciences) for CD31 or anti-rabbit Ig HRP detection kit
(BD Biosciences) for VWF, following the manufacturer's instructions. CD31 mAb (CBL1337)
was purchased from Chemicon. VWF polyclonal antibody (A0082) was purchased from DAKO.
Substrate-chromogen 3,3'-diaminobenzidine staining was used for detection.
Visualization of Nestin Expression in Anag_en Mouse Skin
[0068] Transgenic ND-GFP mice (6-8 weeks old with almost exclusively telogen (resting) hair
follicles) were used to visualize nestin expression in anagen mouse skin. The animals
were anesthetized with tribromoethanol (i.p. injection of 0.2 ml per 10 g of body
weight of a 1.2% solution). The mice were depilated with a hot mixture of rosin and
beeswax to induce anagen. Samples were excised from dorsal skin under anesthesia before
depilation and at 48 and 72 h after depilation, when the hair follicles were in early
anagen. The skin samples were divided into three parts, one for fluorescence microscopy
and the others for frozen sections or air-dried fragments. The samples for frozen
sections were embedded in tissue-freezing embedding medium (DAKO) and frozen at -80°C
overnight. Frozen sections 5 µm thick were cut with a CM1850 cryostat (Leica, Deerfield,
IL) and were air-dried.
[0069] Figure 1 shows views from the dermis side of the doral skin in the ND-GFP transgenic
mice. Figure 1A shows a phase-contrast microscopic image of the dorsal skin from a
transgenic animal. The sebaceous glands (downward facing arrows) are located around
the hair shaft (upward facing arrows). Figure 1B shows a phase-contrast microscopic
image plus GFP fluorescence. ND-GFP cells are visualized in the follicular bulge area
and blood vessels are also seen. The follicular bulge area is located beneath the
sebaceous gland. Figure 1C shows an image of GFP fluorescence. The ND-GFP blood vessels
are seen as connected to ND-GFP hair follicles. Figure 1D shows a schematic of telogen
hair follicle showing position of ND-GFP hair-follicle bulge areas and blood vessel
network. Figure 1E also shows an image of GFP fluorescence. The ND-GFP blood vessels
are seen as being associated with ND-GFP hair-follicle bulge areas. Scale bars in
the figures represent a distance of 100 µm.
[0070] As seen in Figure 1A-D, the nestin-expressing hair follicles are interconnected by
an ND-GFP-labeled dermal vascular network. Immunohistochemical staining showed that
the network vessels display CD31 antigen and VWF, indicating that they are blood vessels.
Transplantation of ND-GFP Vibrissa Follicles to Nude-Mouse Wounded Skin
[0071] For transplantation purposes, vibrissa follicles from ND-GFP transgenic mice were
surgically obtained. The transgenic mice were anesthetized and all surgical procedures
were carried out in a sterile environment. The upper lip containing the vibrissal
pad was cut, and its inner surface was exposed. The follicles were dissected under
a binocular microscope and plucked from the pad by pulling them gently by the neck
with fine forceps. All follicles were then kept in DMEM/F-12 medium containing B-27
supplement (GIBCO/BRL).
[0072] Recipient nude mice were anesthetized with tribromoethanol as described above. A
sample of full-thickness skin was folded and two neighboring full-thickness wounds
∼15 mm apart were made with a 2-mm biopsy punch. ND-GFP vibrissa follicles were then
transplanted. The incision was closed with nylon sutures (6-0). Samples of subcutis
of the transplanted mice were subsequently excised and directly observed by fluorescence
microscopy and air-dried or prepared for frozen sections for immunohistochemical staining.
The mice were anesthetized and wounded skin samples were excised at day 10 after wounding
for analysis.
[0073] Figure 2A-G shows images of ND-GFP vibrissa follicles transplanted into the subcutis
of a nude mouse. Figure 2A shows a phase-contrast micrograph of a follicle 28 days
after transplantation. Pre-existing blood vessels are shown at the bottom of the image.
Figure 2B shows the same follicle as a phase-contrast micrograph plus GFP fluorescence.
Nestin-positive blood vessels are shown connected to pre-existing blood vessels in
this image. Figure 2C shows an image of GFP fluorescence of the transplanted follicle.
In Figures 2B and 2C, ND-GFP blood vessels are seen growing from the transplanted
ND-GFP hair follicle and associating with preexisting blood vessels in the nude-mouse
skin. Figures 2D and 2E show higher magnification images of from the ND-GFP vessels
of Figures 2B and 2C, respectively. (
f and
g) Figures 2F and 2G show images of GFP signals and the endothelial cell marker CD31,
colocalized. Figure 2F is a fluorescent image, and figure 2G shows the same field
air-dried and immunohistochemically stained with CD31. (Scale bars, 100 µm.)
[0074] ND-GFP vessels were detected growing from the transplanted ND-GFP hair follicle in
nude-mouse skin by day 3. As discussed in regards to Figure 2 above, by day 28, the
nestin-GFP-expressing vessels had developed into an extensively branched network and
appeared to anastomose with existing vessels in the recipient nude mice. Immunohistochemical
staining showed that CD31 antigen and GFP fluorescence colocalized in nascent vessels.
Transplantation of ND-GFP Vibrissa Follicles Under the Kidney Capsule of Nude Mice
[0075] Vibrissa follicles were harvested as described above. All follicles were then kept
on ice in DMEM/F-12 medium containing B-27 supplement until they were transplanted
underneath the kidney capsule of 6- to 8-week-old
nu/
nu mice, which were anesthetized as described above. An incision was made on the left
flank of the recipient mouse, and the kidney was exposed. Two follicles were inserted
beneath the kidney capsule. The kidney was then brought back into place, and the incision
was closed with nylon sutures (6-0). On day 14 the kidney capsule of each transplant
mouse was excised and directly observed by fluorescence microscopy.
[0076] Figure 3A-C show images of transplanted ND-GFP vibrissa follicles under the kidney
capsule of a nude mouse. The ND-GFP vessels were visualized to form a network at day
14 after transplantation, as seen phase-contrast micrograph (Figure 3A), phase-contrast
micrograph plus GFP fluorescence (Figure 3B), and GFP fluorescence (Figure 3C). (Scale
bars, 100 µm.) The ND-GFP vessels appeared to anastomose with preexisting blood vessels.
[0077] After transplantation of ND-GFP vibrissa follicles under the kidney capsule in a
nude mouse, an ND-GFP blood vessel network around the transplanted follicles was observed
on day 14 (Fig. 3). The ND-GFP vessels appeared to anastomose with preexisting blood
vessels.
Enhanced Growth of ND-GFP Vessels from Transplanted Hair Follicles in Wounded Skin
[0078] Wounded skin samples containing transplanted ND-GFP vibrissa hair follicles were
harvested for fluorescence microscopy. Figure 4A shows an isolated ND-GFP vibrissa
follicle before transplantation. Figure 4B shows an image of the ND-GFP vibrissa follicle
into wounded nude-mouse skin 10 days after transplantation. The ND-GFP vessels were
seen growing from the ND-GFP vibrissa follicle toward the healing wound. Figures 4C
and D show higher magnification of the area in Figure 4B, as indicated by the white
dashed box. Figure 4E schematic of transplantation of the ND-GFP vibrissa follicle
into wounded nude-mouse skin. (Scale bars, 100 µm.)
[0079] The images of Figure 4 show that ND-GFP vessels grew from the hair follicles toward
the wound. The presence of a wound in the vicinity of the transplanted follicle significantly
enhanced vessel outgrowth. Apparently, vessels originating in the follicle responded
to angiogenic signals arising from the wound vicinity. Immunohistochemical staining
showed that CD31 was expressed in the ND-GFP-expressing vessels growing into the wound.
Discussion
[0080] Angiogenesis, the highly active growth and destruction of capillary blood vessels,
has come to occupy an increasingly important role in understanding tissue maintenance,
wound repair, and the growth of malignancies. Identifying the source of the cells
for new blood vessels has become increasingly important both scientifically and for
therapeutic design. There have been numerous recent reports of endothelial cells arising
from bone marrow-derived stem cells. There is also evidence that endothelial stem
cells can be derived from adipose tissue. However, these previously identified sources
of endothelial stem cells may not be able to supply blood vessels in the skin because
of skin's unique structure. The results provided above indicate that an important
and previously unrecognized function of hair-follicle stem cells is to supply endothelial
cells that can form blood vessels in the skin.
[0081] The repertoire of hair-follicle stem cell potential may be even broader than reported
here. A number of investigators found that multipotent adult stem cells isolated from
mammalian skin dermis, termed skin-derived precursors, can proliferate and differentiate
in culture to produce neurons, glia, smooth muscle cells, and adipocytes. However,
the exact location of these stem cells in skin was unknown, and their functions were
unclear. The present report suggests that the hair follicle is an important source
of stem cells for dermal blood vessels and very likely for other tissues as well.
These results support reports that follicle cells contribute to wound repair as well
as to skin transplant survival.
Example 9
Angiogenesis Model to Screen an Angiogenesis Promoting Compound
[0082] For transplantation purposes, vibrissa follicles from ND-GFP transgenic mice is surgically
obtained as discussed in Example 8. All follicles are then kept in DMEM/F-12 medium
containing B-27 supplement (GIBCO/BRL).
[0083] Recipient nude mice are anesthetized, and a sample of full-thickness skin is folded
and two neighboring full-thickness wounds ∼15 mm apart are made with a 2-mm biopsy
punch. ND-GFP vibrissa follicles are then transplanted. The incision is closed with
nylon sutures (6-0).
[0084] The mice are divided into an experimental group and a control group. The experimental
group received a treatment series comprising vascular endothelial growth factor, a
known angiogenesis promoting compound in a pharmaceutically acceptable carrier. The
control group of mice receives only the carrier.
[0085] Following treatment, samples of subcutis of the transplanted mice are subsequently
excised and directly observed by fluorescence microscopy and air-dried or prepared
for frozen sections for immunohistochemical staining. The extent of angiogenic activity
in the samples taken from the experimental and control groups. Samples taken from
the experimental group indicate a higher degree of angiogenic activity based on the
amount of GFP activity as compared to that seen in the control samples.
[0086] This example indicates that the disclosed model system has utility as a screen for
angiogenic agents.
Example 10
Angiogenesis Model to Screen an Angiogenesis Inhibiting Compound
[0087] For transplantation purposes, vibrissa follicles from ND-GFP transgenic mice are
surgically obtained as discussed in Example 8. All follicles are then kept in DMEM/F-12
medium containing B-27 supplement (GIBCO/BRL).
[0088] Recipient nude mice are anesthetized, and a sample of full-thickness skin is folded
and two neighboring full-thickness wounds ∼15 mm apart are made with a 2-mm biopsy
punch. ND-GFP vibrissa follicles are then transplanted. The incision is closed with
nylon sutures (6-0).
[0089] The mice are divided into an experimental group and a control group. The experimental
group received a treatment series comprising vasoinhibin, a known angiogenesis inhibiting
compound in a pharmaceutically acceptable carrier. The control group of mice receives
only the carrier.
[0090] Following treatment, samples of subcutis of the transplanted mice are subsequently
excised and directly observed by fluorescence microscopy and air-dried or prepared
for frozen sections for immunohistochemical staining. The extent of angiogenic activity
in the samples taken from the experimental and control groups. Samples taken from
the experimental group indicate a reduced degree of angiogenic activity based on the
amount of GFP activity as compared to that seen in the control samples.
[0091] This example indicates that the disclosed model system has utility as a screen for
anti-angiogenic agents.
Example 11
Transplantation of FP-Expressing hair follicle cells into A FP-Transgenic Host
[0092] ND-GFP-expressing vibrissa hair follicle cells are prepared in a transgenic mouse.
A transgenic host organism, a
nu/
nu mouse is engineered to express RFP under nestin regulatory control (ND-RFP). ND-GFP-expressing
vibrissa hair follicle cells are transplanted into skin wounds made in the ND-RFP-transgenic
host organism, as discussed in Example 8.
[0093] Wounded skin samples containing transplanted ND-GFP vibrissa hair follicles are harvested
for fluorescence microscopy. An isolated ND-GFP vibrissa follicle is subjected to
microscopy before transplantation. An image of the ND-GFP vibrissa follicle into wounded
nu/
nu ND-RFP mouse skin 10 days after transplantation. The ND-GFP vessels are seen growing
from the ND-GFP vibrissa follicle toward the healing wound. ND-RFP vessels projecting
from the wound are also seen.